Fill Out a Valid Georgia Pe Comity Application Template Edit Georgia Pe Comity Application Here

Fill Out a Valid Georgia Pe Comity Application Template

The Georgia PE Comity Application form is a structured document designed for individuals seeking to be recognized as Professional Engineers in Georgia through the principle of comity, essentially acknowledging the licensure they have received from other states. It requires applicants to provide detailed information regarding their education, prior licenses, and work experience. This process involves a non-refundable application fee, and for those who hold an NCEES Record, certain sections of the application might be simplified, aiding in a more streamlined registration process.

Edit Georgia Pe Comity Application Here

The Georgia Pe Comity Application form serves as a critical gateway for professional engineers seeking to establish their credentials in Georgia through the principle of comity, or reciprocity, with other states. Managed by the Georgia State Board of Professional Engineers & Land Surveyors, this meticulous document requires applicants to put forward comprehensive personal and professional information, starting with a non-refundable application fee of $70. Applicants must detail prior licensure, including any additional license types previously granted by the Georgia Professional Licensing Boards. Key sections demand exhaustive biographical details, affiliations, and precise addresses—both physical and mailing—underscoring the board's strict policy against P.O. Box addresses for physical location needs. Furthermore, candidates are scrutinized for any criminal, professional misconduct, or licensure infractions while also being asked about their existing NCEES (National Council of Examiners for Engineering and Surveying) Record, which, if held, simplifies the application by waiving the need for multiple endorsements and verifications. Moreover, the form delves into educational background, requiring official transcripts and, for foreign degrees, a requisite evaluation from an approved provider. Beyond confirming the NCEES Council Record, applicants are prompted to outline their professional engineering experience thoroughly, demonstrating their eligibility through detailed engagement history and endorsement forms. Finally, the affidavit section mandates a solemn declaration of the truthfulness and accuracy of the provided information, coupled with an acknowledgment of the applicant's responsibility to adhere to state laws, rules, and regulations governing their professional practice. This organized and stringent application process is designed to ensure that only qualified, ethical, and accountable professionals are granted the privilege to practice as professional engineers in Georgia.

Form Example

GEORGIA STATE BOARD OF PROFESSIONAL ENGINEERS & LAND SURVEYORS

237Coliseum Drive • Macon, Georgia 31217 • (478) 207-2440 www.sos.ga.gov/plb/pels/

APPLICATION FOR CERTIFICATE AS A PROFESSIONAL ENGINEER

Application Fee $70 (non-refundable)

License Type: PROFESSIONAL ENGINEER

Additional License Types (currently or previously issued by the Georgia Professional Licensing Boards): ___________________________________

Method Obtained by: Applicant is applying for above referenced license by: Comity Original PE license from the State of _______________

Name as desired on License (First, Middle, Last, Suffix): ________________________________

Name as shown on exam records or transcripts (First, Middle, Last, Suffix):

(if different) _____________________________________

Social Security Number: ____ -____-_______ Date of Birth: ___/___/_____

Physical Address: # Street __________________ Apt/Ste: ______ City: ______ State ___ Zip _____

P.O. Box not acceptable for Physical Address

Mailing Address: # Street __________________ Apt/Ste: ______ City: ______ State ___ Zip _____

(if different)

Telephone Day: (____) ____- _____ Telephone Evening: (____) ____-_____

E-Mail Address: __________________________

Affiliation:

Name of firm: __________________________________________

Physical Address: # Street __________________ Apt/Ste: ______ City: ______ State ___ Zip _____

P.O. Box not acceptable

Mailing Address: # Street __________________ Apt/Ste: ______ City: ______ State ___ Zip _____

(if different)

NOTE TO APPLICANT: This information will be entered into the Division database for Accounting and Licensing purposes. All items must be completed, and then duplicated on the next page of the application for Board review.

APPLICATION FOR REGISTRATION AS A PROFESSIONAL ENGINEER BY COMITY

Note: NCEES Record Holders are required to completely fill out sections 1 through 5. NCEES Record Holders are not required to submit endorsements, verification of licensure/exams or transcripts as those items are part of the NCEES Record.

Section 1: General Information

Date: ____________________

 

 

Name (First, Middle, Last, Suffix): ___________________________________________________________

 

Home Address: # Street __________________ Apt/Ste: ______ City: ______ State ___ Zip _____

 

Preferred address: # Street __________________ Apt/Ste: ______ City: ______ State ___ Zip _____

 

Social Security Number: ____-___-_____ Birthplace: ________________ Date of Birth: ___/___/_____

 

Business Phone: (_____)_____ - ______________ Home Phone

(_____) _____ - ________________

 

 

 

 

Have you ever been convicted or pled nolo contender, pled guilty, or been given first offender status for

 

 

any offense status for any offense which is a felony, misdemeanor, a crime violating a federal law

Yes

No

involving controlled substance or dangerous drug, or a DUI or DWI? If yes, provide documentation.

 

 

Have you ever had a licensed that was revoked, suspended, restricted, probated, or surrendered to any

 

 

licensing board or agency? If yes, provide documentation.

 

Yes

No

Have you ever been found liable in civil court of any misconduct, fraud, or negligence in the practice of

 

 

engineering or land surveying? If yes, provide documentation.

 

Yes

No

Has any professional license granted to you been revoked, suspended or otherwise sanctioned publicly

 

 

or privately, or have you ever been denied license, by any board or agency in Georgia or any other

Yes

No

state? If yes, provide documentation.

 

 

 

Do you hold a current NCEES Record that you plan to submit? If yes, contact NCEES for record to be

 

 

sent electronically to the GA Board and complete all of sections 1 through 5 of this application.

Yes

No

Are you currently registered as a Professional Engineer in the state where you live?

 

 

If no, why not? _________________________________________________

Yes

No

 

 

 

 

Has your name changed since birth?

 

 

 

If yes, why? ____________________________________________________

Yes

No

 

 

 

 

Have you ever applied to this Board for registration before?

 

 

 

If yes list when and what type of application _________________________________________

Yes

No

 

 

 

 

Which one branch of engineering do you propose to practice in the state of Georgia? _________________

Designate the special branches of engineering in which you have been examined: ___________________

Present Employer __________________________________________ Position: ___________________

Note: It is the Board’s policy for Comity applicants who practice or propose to practice Structural Engineering and have taken the PE exam in a discipline other than Structural, to have a minimum of 60 months of Structural engineering experience after successful examination acceptable to the Board at the time of application.

Revised 07-12

Section 2: Registration

PE COMITY

EIT-State ____________ Certificate No ____________

Date of Certification as EIT: ___/___/_______

Number of hours written exam (“0” if no written examination taken): ______

PE-State _____________ Certificate No ____________

Date of first registration as a PE ____/____/________

If registered by written exam, indicate number of hours for the exam (“0” if no exam taken): ____

Indicate exam options taken: _______________________

List all states in which you are currently registered as a PE: _______,_______,_______,_______,_______

List other states and types of registration for which you have applied or are currently applying but do not have final notification of registration: _______,_______,_______,_______

NOTE: If you hold an NCEES Council Record and plan to submit it in lieu of endorsements, verification of licensure/exam and transcripts, then you should completely fill out Sections 1 through 5 of this application and contact NCEES to have them electronically transmit your NCEES record to the Georgia Board for consideration. For further information regarding an NCEES Council Record, please contact NCEES at www.ncees.org or 1-800- 250-1396.

NOTE: If you do not hold an NCEES Council Record, you will need to bundle and send with your application:

Official transcripts for each college attended, whether you graduated or not

Evaluation of foreign degree (if you earned your bachelor’s degree outside the US) from an approved provider. If you choose not to have an evaluation, you will need to send a letter indicating so.

Verification of original exam/licensure of both the EIT and PE, and if different, verification of licensure from the state where you live now. If you are not licensed in your residence state, indicate in Section 1.

Endorsements for all experience you list in Section 3. You must have at least five endorsements/references from five (5) individuals, three (3) of which must be currently active PE’s, that are not related to you by

blood or marriage, are not Board members and who have personal knowledge of your engineering experience, reputation and accomplishments.

All of the above supporting documentation must be sent to the Board in sealed envelopes, with the back flap signed to ensure no tampering. Some states/agencies/individuals prefer to send their documentation directly to the Board, which is permissible. This information will be maintained at the Board office and added to the application file upon receipt.

NOTE: Be sure to sign your application and have your signature notarized (Section 5.)

 

Board Use Only Section:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

School______________________________________

Degree/Date____________________________Abet Yes_________No__________

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Masters_____________________________________

Degree/Date____________________________Abet Yes_________ No__________

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Technology__________________________________

Degree/Date____________________________ Abet Yes_________No__________

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Other_______________________________________

Degree/Date____________________________ Abet Yes_________No__________

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

EIT/Date Obtained___________ _________ PE/Date Obtained____________________Discipline__________________

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Section 3: Engineering Experience

 

 

 

 

 

 

 

 

 

 

 

PE COMITY

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Engmt

 

 

 

 

Part

From

To

Total

 

%

 

 

Qex

 

%

 

 

Qex

 

%

 

 

Qex

 

 

%

 

 

Qex

 

%

 

 

Qex

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

#

Company Name

Your Title

 

Time?

mm/yy

mm/yy

Months

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

TOTAL NUMBER OF ENDORSEMENTS FORMS: _______

 

 

 

 

 

 

 

 

 

 

Education Total

 

 

 

 

 

 

NCEES Record Requested in lieu of endorsements Yes

No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Field:

 

 

 

 

Experience Total

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

References: Positive

(

)

 

 

Total Months

 

 

 

 

 

 

Negative

(

)

 

 

 

 

 

 

 

 

 

Special:

 

 

 

 

Board Member’s Initials

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Shaded areas are for Board use only

 

 

 

 

 

 

 

Note: List all engagements of engineering experience beginning with the earliest and ending with your current position. Endorsement form (Section 6) should correspond with this section. All engagements listed must be described on an endorsement form and someone familiar with your work (preferably your supervisor) should endorse it.

Section 4: Education

 

 

 

 

PE COMITY

 

 

 

 

 

 

 

INSTITUTION AND LOCATION

FROM

TO

Date of

 

 

 

 

 

 

 

 

 

 

 

 

 

Mo/Yr

Mo/Yr

Graduation

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

High Schools: (Transcripts not needed)

 

 

 

 

 

 

 

 

 

 

 

 

1.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2.

 

 

 

 

 

 

 

 

 

 

 

 

 

Colleges and Universities: (Transcripts

needed from all schools ever attended listed unless applicant is submitting NCEES record)

FROM

Mo/Yr

TO

Mo/Yr

TOTAL MONTHS

MAJOR FIELD

DEGREE EARNED

1.

2.

3.

4.

5.

Section 5: Affidavit by Applicant

I hereby swear and affirm that all information provided in this application is true and correct to the best of my knowledge and belief. I further swear and affirm that I have read and understand the current state laws and rules and regulations of the Georgia State Board of Registration for Professional Engineers and Land Surveyors, and I agree to abide by these laws and rules, as amended from time to time.

By signing this application, electronically or otherwise, I hereby swear and affirm one of the following to be true and accurate pursuant to O.C.G.A. § 50-36-1:

1)_______I am a United States citizen 18 years of age or older. Please submit a copy of your current Secure and Verifiable Document(s) such as driver’s license, passport, or other document as indicated on page 12 of the application.

2)_______I am not a United States citizen, but I am a legal permanent resident of the United States 18 years of age or older, or I am a qualified alien or non-immigrant under the Federal Immigration and Nationality Act 18 years of age or older with an alien number issued by the Department of Homeland Security or other federal immigration agency. Please submit a copy of your current immigration document(s) which includes either your Alien number or your I-94 number and, if needed, SEVIS number.

In making the above attestation, I understand that any failure to make full and accurate disclosures may result in disciplinary action by the Georgia State Board of Registration for Professional Engineers and Land Surveyors and/or criminal prosecution.

State of _________, County of ______________Applicant's Signature_______________________________

Subscribed and sworn to before me this_________day of _____________ , 20______

___________________________________________________(SEAL)

Signature of Notary Public

My commission expires:________/_______/_________

NON-ENGINEERING AND RELATED GAPS

PE COMITY

PLEASE LIST (references not needed)

 

Applicant Name: ____________________________________________

 

If no gap information is needed to be entered, check here:

 

From _______________To ______________

Description ___________________________________________________

From _______________To ______________

Description ___________________________________________________

From _______________To ______________

Description ___________________________________________________

From _______________

To ______________

Description

___________________________________________________

 

 

From _______________

To ______________

Description

___________________________________________________

 

 

 

This is page 1 of a two-page form. Please return both pages stapled together.

PE COMITY

Section 6: Endorsement Form

 

SECTION 6-A (TO BE COMPLETED BY APPLICANT)

 

Name: __________________________________________________________

 

Engagement # as listed in Section 3: _______ Social Security Number_____-____-___________

 

This endorsement is for: Reference & Experience Verification

Reference Only

Experience Verification Only

GA Law Section 43-15-15(d) states: “An application shall contain the names of not less than five persons, not related to the applicant by blood or marriage, of whom at least three shall be registered, active professional engineers…having personal knowledge of the experience on which the applicant predicates his qualifications.”

Experience described on this form was obtained while employed by (company name): ___________________________

Street Address: _____________________________ City: _______________ State: ________ Zip: _________

For this engagement, please provide name of direct supervisor: ___________________________________________

Was your direct supervisor a registered PE? Yes

No

Other: ___________________________________________

Endorser for this engagement: _____________________________________________

State your title(s) & Name of Company. Describe experience (one line is not sufficient) detailing in first person the work you personally performed in design, study, review, testing or other tasks which required your engineering skills. This work should be progressive in difficulty and magnitude; demonstrate sufficient breadth and scope, not a narrow technical skill focus; and reflect the acquired ability to design and apply engineering principles to demonstrate that your judgment may be trusted on projects involving public health and safety. Do not attach resume or project lists. Experience must be verified by PE associates even if you are self-employed.

 

 

Dates

 

Engagement

 

 

 

 

#:

 

From

 

To

 

 

Mo/Yr

 

Mo/Yr

 

___/_____

 

___/_____

 

 

Type of Experience

%

 

 

 

Engineering Design

 

 

 

 

Engineering Studies, Reports, Evaluations

 

 

 

Engineering Research, Data Preparation &

 

Interpretation

 

 

Title: ______________________________________________

Name of Company: __________________________________

Experience Description:

Other Engineering Related Activities

Non-Engineering (including surveying)

Accurate

Section 6B – To Be Completed by Endorser

Applicant’s description in Section 6A above is:

Inaccurate Explain if inaccurate: ____________________________________________________________

Were you the applicant’s direct supervisor for this engagement?

Yes

No

If direct supervisor, were you a registered engineer?

Yes

No

State Registered/#: ______________________

Discipline: ____________________________________ Date of Issue: ___________________________________________

Signature: _________________________________________________

This is page 2 of a two-page form. Please send both pages stapled together.

PE COMITY

Section 6-C (to be completed by the endorser/reference)

 

The Georgia Board prefers that you mail this form back to the applicant in the applicant’s enclosed pre-addressed stamped envelope. Seal the envelope and sign the back flap to ensure against tampering. If you prefer to mail the form directly to the Board office at 237 Coliseum Drive, Macon, GA 31217-3858, please make a blank copy of this form and mail it back to the applicant following the directions above, then mail the completed form to the Board.

Name of Applicant: ____________________________________________________

1a. How well do you know the applicant:

very well

well

slightly

not at all

1b. List dates (months and years) of contact with the applicant: __________________ to _____________________

1c. Basis of contact:

As the applicant’s PE supervisor

As an associate or co-worker in Engineering work

Other (explain): __________________________________

Are you related by blood or marriage?

Yes

No

2.Do you have personal knowledge of the applicant’s engineering work?

Yes

No If yes, complete entire form.

If no, complete only items 3 & 10.

3.What is your opinion of the applicant’s personal integrity and reputation? __________________________________________

4. Would you employ applicant in a position of trust: Yes

No If no, explain: __________________________________

5.Using the interpretation below, please rate the practice and quality of performance of the applicant’s engineering work.

Type of Practice

Responsible Charge

Above

Average

Below

Unsatisfactory

Unknown

 

Yes

No

Average

 

Average

 

 

Engineering Design

 

 

 

 

 

 

 

Engineering Studies

 

 

 

 

 

 

 

Engineering Data Interpretation

 

 

 

 

 

 

Engineering Other

 

 

 

 

 

 

 

Interpretations:

 

 

 

 

 

 

 

Above Average:

Performance unquestionably of a professional level demonstrated through competence and creative ability.

 

Average:

Work not distinguished in content or level, but adequate for engineering purposes indicating an ability, under some supervision, to produce

 

workable design of systems and products.

 

 

 

 

 

 

Below Average:

Performance needs careful checking and rather close supervision to meet requirements.

 

 

 

Unsatisfactory:

Inadequate for “the purpose of safeguarding life, health and property.”

 

 

 

 

Unknown:

Did not review work or work with applicant in this area. Cannot determine proficiency.

 

 

 

6.Licensure in Georgia is not by classification of any discipline of Engineering practice. However, the Board is interested in the applicant’s background and experience and appreciates your appraisal in selecting the discipline in which the applicant is most proficient.

Civil Breadth with Depth in:

Environmental

Geotechnical

Structural

Transportation

Water Resources

Structural I

Electrical

Environmental

Mechanical

Other ______________________

7. Considering the need to protect the public health, safety and welfare, in your opinion how does this applicant rank in professional

competence and responsibility:

Qualified

Additional Experience Needed

Unqualified

8.Remarks: The Board will appreciate additional information or amplifying information regarding the applicant’s engineering experience, capabilities, or limitation, if any. Use reverse side for continuation of comments, if necessary.

_______________________________________________________________________________________________________

9.Based on the definition of the practice of engineering, GA Law 43-15-2(11), do you recommend the applicant for PE licensure?

Yes

No

10.I certify that the above statements are true and correct to the best of my personal knowledge, not made for the purpose of aiding an unqualified applicant to become licensed but with full realization of the responsibility toward the public where the safeguarding of life, health and property is concerned or involved.

Print Name: ____________________________________________________________________________________________

FirstMILast

State of PE License/Number: __________________ Date Issued: _____________ Discipline: __________________________

Present Position: ______________________________________ Firm: ____________________________________________

Address: _____________________________________________

Daytime Phone: (_____) _________________________________

Signature: ______________________________Date: __________

SEAL

If licensed, please verify with professional engineer seal with signature.

Georgia State Board of Registration for

Professional Engineers & Land Surveyors

VERIFICATION OF OUT-OF-STATE LICENSURE

EXAMINATION AND REGISTRATION

Instructions to the Applicant:

1.The Applicant should:

a.Complete his or her name and address on the top portion, upper right corner on the reverse side of this form.

b.Fill in the name of the state board completing this form.

c.Forward this form to the out-of-state board where the applicant is certified or registered.

2.Comity Applicants should:

a.Submit a form to the state of their Engineer-In-Training (EIT) and to the state of their initial Professional Engineer (PE) registration.

b.If registration is not currently valid in the state of the initial registration, submit a form to the state where a current valid registration is held.

c.If the applicant currently lives in a state other than initial licensure, submit a form to that state. If the applicant is not licensed in the state of residence, please indicate in Section 1 of the application.

3.This form may be copied if necessary.

Notes to applicant:

1.It is the policy of some states/agencies is to only send the verification/documentation directly to the Georgia Board rather than to the applicant. This is permissible.

2.It is the policy of some states/agencies to charge a fee for verification and if so, the state will not process the request until the fee is received. Before you mail this verification request to the state Board, check their website or call them to verify their fee policy.

Instructions to the Out-of-State Board:

The Out-of-State Board should complete Sections 1 - 4 on the reverse side of this form, enter the appropriate state name, and return to the applicant in a sealed envelope with an official signature on the flap of the envelope to assure no tampering. The Georgia Board will not accept this form to be transmitted via e-mail or fax.

REQUEST FOR VERIFICATION OF REGISTRATION OR EXAMINATION FOR PE COMITY APPLICANT

TO (State Requested): ________

Date:

_______________

 

 

 

 

Name:

_____________________________________________

FROM: GA Board of PELS

Address:

_____________________________________________

237 Coliseum Drive

 

_____________________________________________

Macon, GA 31217

City:

________________

State: ____

Zip:

________

 

SSN:

____-____-_______

DOB:

____/____/______

1.THE ABOVE NAMED PERSON WAS CERTIFIED OR REGISTERED AS:

 

Certificate

Date

Valid Until

 

#

Issued

 

 

Engineer-In-Training/Engineer Intern……………………..

________

________

________

________

________

________

Professional Engineer………………………………………

________

________

________

Land Surveyor-In-Training/Land Surveyor Intern…………

________

________

________

Land Surveyor………………………………………………..

________

________

________

2.BASIS OF REGISTRATION:

 

 

 

(Pass/Fail)

(Yes/No)

 

 

 

Hours

Results

NCEES

Exam Date

Written Examination:

FE

________

________

________

________

 

PE

________

________

________

________

 

FLS

________

________

________

________

 

LS

________

________

________

________

Other

Other

________

________

________

________

Examination Option:

_________________________________________________(Discipline)

Oral Examination:

Hours PE _____________

Hours LS ___________________

EIT/LSIT Accepted from: ___________________________________________________________

PE/LS Accepted from:

___________________________________________________________

Other: ____________________________________________________________________

3.QUESTIONS:

1.

Has any disciplinary action ever been taken against the applicant?

Yes

No

2.

If so, has this disciplinary case been satisfied to the Board’s requirements?

Yes

No

 

(If not, give details):

 

 

4. REMARKS:

(BOARD SEAL)

 

By:_____________________________________ Title:___________________________ Date:__________

Verifying State:____________________________

(If a fee is required, please notify the applicant but do not delay the processing of this form)

Document Details

Fact Name Fact Detail
Application Authority The application is governed by the Georgia State Board of Professional Engineers & Land Surveyors.
Application Fee The application fee for the certificate as a Professional Engineer is $70, which is non-refundable.
License Type The form is specifically for applying for a certificate as a Professional Engineer in Georgia.
Comity Application Applicants can apply for the license by comity, which allows for licensure based on holding a license in another state.
Required Documentation Applicants not holding an NCEES Council Record must provide transcripts, verification of original licensure, and endorsements among others.

Detailed Guide for Using Georgia Pe Comity Application

Filling out the Georgia PE Comity Application form is a critical step for engineers seeking to practice in Georgia under the principles of comity—meaning those already licensed in another state can obtain licensure in Georgia without going through the entire examination process again. It's important to accurately complete each section, providing thorough documentation where required. After submission, your application will be reviewed by the Georgia State Board. This review process ensures that all applicants meet the state's high standards for professional engineering practice. Here's how to complete the application:

  1. Start with the Application Fee section, writing a check or obtaining a money order for $70, payable to the Georgia State Board of Professional Engineers & Land Surveyors.
  2. Indicate the License Type as "PROFESSIONAL ENGINEER" and fill in any Additional License Types you hold.
  3. Under Method Obtained by, select "Comity" and enter the state where your original PE license was issued.
  4. In the Name as desired on License section, fill in your name exactly as you want it to appear on your license.
  5. Provide your Name as shown on exam records or transcripts in the space provided, if it differs from the above.
  6. Enter your Social Security Number, Date of Birth, and Physical Address (Note: P.O. Box is not acceptable for Physical Address).
  7. Fill in your Mailing Address, Telephone Day, Telephone Evening, and E-Mail Address.
  8. Under Affiliation, list the Name of firm and both physical and mailing addresses.
  9. In Section 1: General Information, fill out your home and preferred addresses, social security number, birthplace, date of birth, business and home phone numbers. Answer all personal background questions truthfully, providing documentation if necessary.
  10. For Section 2: Registration, input your EIT and PE certification numbers, dates of certification, and specify if you've taken a written examination. List all states in which you are currently registered as a PE.
  11. In Section 3: Engineering Experience, describe your engineering experience, starting with the earliest engagement. Be sure to fill this out completely.
  12. In Section 4: Education, list your educational background, including high schools, colleges, and universities attended, dates of attendance, major field, and degree earned.
  13. Complete the Affidavit by Applicant in Section 5, swearing and affirming the accuracy of information provided in the application. Sign and date the affidavit in the presence of a Notary Public.
  14. Ensure all required documents and endorsements are enclosed in sealed envelopes with the back flap signed, as per the instructions within the application.
  15. Review your application thoroughly, ensuring that every section is completed and that all accompanying documents are in order. Submit the application to the address provided at the top of the application form.

Once your application is submitted, an acknowledgment will be sent to you. The review process may take some time, depending on the completeness of your application and the volume of applications being processed. Keep a copy of the entire application packet for your records. Patience and attention to detail will ensure a smooth application process.

More About Georgia Pe Comity Application

  1. What is the application fee for the Georgia PE Comity Application?

    The application fee for the Georgia Professional Engineer (PE) Comity Application is $70. This fee is non-refordable.

  2. What licenses types are applicable under the Georgia PE Comity Application?

    The application is specifically for the license type "Professional Engineer". Applicants can also list any additional licenses currently or previously issued by the Georgia Professional Licensing Boards.

  3. What methods can be used to apply for the license?

    Applicants can apply for the license by comity, based on an original PE license from another state. This means if you're already licensed as a Professional Engineer in another state, you may be eligible for licensure in Georgia through the comity application.

  4. Are NCEES Record Holders required to submit endorsements and transcripts?

    No, NCEES Record Holders are not required to submit endorsements, verification of licensure/exams, or transcripts, as these items are included in the NCEES Record. They're required to fill out sections 1 through 5 fully, however.

  5. What information must be provided if an applicant doesn't hold an NCEES Council Record?
    • Official transcripts for each college attended (regardless of graduation status).
    • Evaluation of any foreign degree from an approved provider if the degree was obtained outside the US.
    • Verification of original EIT and PE licensure and verification of licensure from the state where the applicant lives now, if different.
    • A minimum of five endorsements/references, of which three must be from currently active PEs.

    All supporting documentation must be sent in sealed envelopes with the back flap signed to ensure no tampering, and some documents may be sent directly to the Board by states/agencies/individuals.

  6. How should the application be signed?

    The application must be signed by the applicant, and the signature must be notarized. This step verifies the truthfulness and accuracy of the provided information.

  7. What are the verification processes for criminal, licensing, and disciplinary history?

    Applicants must disclose if they've ever been convicted or pled to offenses including felonies, misdemeanors involving controlled substances or dangerous drugs, DUIs, or DWIs. They also need to disclose any licensing disciplinary actions like revocations, suspensions, restrictions, probations, or surrenders, as well as any civil liabilities in the practice of engineering or land surveying. Documentation for these disclosures must be provided.

  8. Is residency in the state where one is currently registered as a Professional Engineer required?

    Applicants are asked whether they are registered as Professional Engineers in the state where they live. If not, they must explain why. This question may address concerns related to the comity process and ensures that applicants are in good standing in their home state or have legitimate reasons for not being registered there.

  9. What specific requirements are there for applicants proposing to practice Structural Engineering in Georgia?

    For Comity applicants proposing to practice or currently practicing Structural Engineering who have taken the PE exam in a discipline other than Structural, the Board requires a minimum of 60 months of Structural engineering experience after successful examination acceptable at the time of application.

  10. How is a change in the applicant's name since birth handled?

    Applicants who have had a name change since birth are required to disclose the reason for the change. This could be due to reasons such as marriage, divorce, or a legal name change.

Common mistakes

Applying for a Certificate as a Professional Engineer in Georgia is a step that demands attention to detail. Mistakes can delay or even derail the process. Here are ten common errors applicants make when filling out their Georgia PE Comity Application:

  1. Incorrect or inconsistent name usage across documents – Applicants must ensure that the name on their application matches the one on their exam records or transcripts, especially if there has been a legal name change.
  2. Not providing a physical address – A P.O. Box is not acceptable as a physical address, yet some applicants mistakenly provide only this information.
  3. Failing to disclose past convictions or licensing issues – It's crucial to be upfront about any past convictions or disciplinary actions in the practice of engineering or related fields.
  4. Leaving sections incomplete – Every part of the application needs to be filled out completely. Skipping sections or providing partial information can lead to application rejection.
  5. Not submitting required documentation – Applicants sometimes forget to include all necessary documents, such as transcripts, verification of licensure, and endorsements.
  6. Mistakes in reporting engineering experience – This section requires accurate detailing of an applicant’s engineering experience, yet it's common to find inaccuracies or incomplete entries here.
  7. Incorrectly handling the affidavit section – The affidavit must be signed, and the signature notarized. Some applicants miss signing or notarizing this crucial part of the application.
  8. Forgetting to check or incorrectly checking the attestation regarding citizenship or legal resident status – This information is vital for processing the application correctly.
  9. Not providing proper contact information – An accurate day and evening phone number, as well as an email address, are essential for communication about the application status.
  10. Overlooking the need to update the application – If there are any changes or updates needed after submission, it's important to communicate these to the board promptly.

While applying for licensure via comity can streamline the process for engineers already licensed in another state, attention to detail is key. Avoiding these mistakes can help ensure a smoother application process.

Documents used along the form

When submitting a Georgia PE Comity Application, applicants are often required to bundle it with additional forms and documents to demonstrate their qualifications and legal standings. These supporting documents are crucial for a complete and thorough evaluation of the application. Descriptions of commonly required documents are provided below to assist applicants in preparing their application packages comprehensively.

  • Official College Transcripts: Official transcripts from each college attended must be sent directly from the institutions, showcasing the applicant’s academic accomplishments and degrees obtained. This is essential even if the applicant did not graduate from every institution attended.
  • Evaluation of Foreign Degrees: Applicants with degrees from non-U.S. institutions must submit an evaluation of their degrees from an approved evaluation provider, verifying equivalency to U.S. degrees.
  • Verification of Licensure: This includes official verification of both the EIT (Engineer-in-Training) and PE (Professional Engineer) licensure, confirming the applicant's licensing status and any examination details. Verification from the state of current residence is required if different.
  • Endorsements: Five endorsements or references from individuals familiar with the applicant’s engineering experience, three of whom must be currently practicing PEs. These endorsements are to vouch for the applicant’s engineering skills, ethics, and professional experience.
  • NCEES Record: For applicants holding an NCEES Record, submission of this comprehensive document can substitute for several individual verifications and endorsements. It includes verified transcripts, exam scores, and licensure history.
  • Proof of Name Change: If applicable, any legal documentation verifying a name change since birth, such as a marriage certificate or court order, must be submitted to ensure consistency across all submitted documents.
  • Documentation of Legal Status: Applicants must provide evidence of legal presence in the United States, using secure and verifiable documents such as a passport, driver's license, or immigration documents.
  • Notarized Affidavit by Applicant: Finally, the application package must include a notarized affidavit where the applicant swears all provided information is true and commits to adhering to state laws and regulations. This legal document is a testament to the applicant's integrity and accountability.

Gathering and preparing these documents in the correct format is a vital step in the application process for licensure as a Professional Engineer in Georgia through comity. It's important for applicants to precisely follow the requirements set by the Georgia State Board of Professional Engineers & Land Surveyors to ensure their application is processed without unnecessary delays.

Similar forms

The Georgia PE Comity Application form is similar to various other professional licensing application forms, in particular, the application form for licensure by examination for professional engineers in other states, and the National Council of Examiners for Engineering and Surveying (NCEES) Record application. Each document requires detailed personal, educational, and professional information, aiming to ensure the applicant meets the rigorous standards set forth for engineering practice. However, they differ in specific requirements based on the pathway to licensure they facilitate - initial licensure, licensure in another jurisdiction, or licensure through a standardized national record.

The application form for licensure by examination for professional engineers in other states often includes sections similar to those found in the Georgia PE Comity Application form. For instance, both forms require applicants to provide general information, educational background, examination history, and professional experience. They also require documentation of any past disciplinary actions or legal issues pertinent to the applicant's eligibility for licensure. The main difference lies in the purpose; while the Georgia form is for engineers seeking licensure through comity, or reciprocity, based on an existing license in another jurisdiction, the examination licensure form is geared towards new applicants seeking their initial professional engineer license.

Another document that shares similarities with the Georgia PE Comity Application form is the NCEES Record application. The NCEES Record is a comprehensive document that includes verified records of an engineer's education, examination scores, work experience, and professional references. Like the Georgia comity application, it is designed to facilitate the process of applying for licensure in multiple states. However, the NCEES Record goes a step further by providing a centralized document that can be easily sent to any member board upon request, simplifying the licensure process for engineers seeking comity in numerous jurisdictions. This streamlines the process by eliminating the need to gather and submit multiple documents to each state board.

Dos and Don'ts

When applying for certification as a Professional Engineer in Georgia through Comity, attention to detail is not just beneficial; it's paramount. To navigate this process smoothly, here are five crucial dos and don'ts:

  • Do double-check that all the information provided matches the documentation and records you are submitting. Consistency is key to a smooth application process.
  • Do ensure your application is signed and notarized as required in Section 5. This formalizes the authenticity of the details you've provided.
  • Do provide your NCEES Record if you have one. This can simplify the application by covering requirements for transcripts, licensure/exam verifications, and endorsements.
  • Do submit all supporting documentation in sealed envelopes with the back flap signed, as proof against tampering. This includes transcripts, evaluations of foreign degrees, or endorsement forms.
  • Do carefully review the entire application before submission to ensure no section is left incomplete. Missing information can lead to delays in the review process.

Conversely, here are practices to avoid during your application process:

  • Don't leave any field blank. If a question or section does not apply to you, it's better to note that it's not applicable rather than leaving it empty.
  • Don't rely on outdated forms or information. Always double-check the Georgia State Board of Professional Engineers & Land Surveyors' website for the most current forms and requirements.
  • Don't underestimate the importance of detailing your engineering experience clearly and accurately in Section 3. Vague descriptions can hinder the Board's ability to evaluate your qualifications.
  • Don't forget to include the application fee. Without the required fee, your application will not be processed.
  • Don't send original documents unless specifically requested. Keep originals for your records and send photocopies where applicable.

By following these guidelines, you can present a complete and accurate application to the Georgia State Board, streamlining your path to becoming a Professional Engineer in Georgia through Comity.

Misconceptions

There are several misconceptions about the Georgia PE Comity Application form process that warrant clarification to ensure applicants fully understand the requirements and can successfully navigate the application process. These misconceptions often lead to confusion and unnecessary delays in obtaining licensure as a Professional Engineer in Georgia.

  • Misconception 1: The application fee covers multiple license types.

Many applicants believe that the initial application fee of $70 covers the application for multiple licensure types beyond the Professional Engineer license. However, this fee pertains solely to the PE license application process. If an applicant desires licensure in additional categories or holds licenses in other jurisdictions that they wish to be recognized under comity, separate processes and potentially additional fees for each type might be required.

  • Misconception 2: Physical and mailing addresses can be identical.

While the application permits listing both physical and mailing addresses, it stipulates that a P.O. Box is not acceptable as a physical address. This requirement underscores the importance of providing a verifiable physical location for the applicant, differing from the mailing address when necessary, especially if the mailing address is a P.O. Box.

  • Misconception 3: NCEES Record holders do not need to provide any documentation.

Applicants who hold a current NCEES Record may assume that no further documentation is required for their application. While holding an NCEES Record simplifies the application process by negating the need for submitting transcripts, verification of licensure/exams, or endorsements directly, these applicants must still ensure that their NCEES Record is complete and up-to-date. They also must initiate the transfer of their NCEES Record to the Georgia Board for consideration, which is a step beyond simply holding the record.

  • Misconception 4: All applicants must have an engineering degree from a U.S. institution.

Some applicants incorrectly believe that only degrees from U.S. institutions are valid for the purpose of licensure as a Professional Engineer in Georgia. While the application does require information on education, including the need for transcripts, it also allows for the evaluation of foreign degrees. Applicants who obtained their engineering degree outside the United States are required to submit an evaluation of their degree from an approved provider unless they opt to forego this evaluation explicitly. This pathway provides a clear avenue for individuals with international education to pursue licensure in Georgia.

Key takeaways

When approaching the task of filling out the Georgia PE Comity Application form, a few key takeaways ensure a smooth process and enhance the chances of your application being approved without unnecessary delays. Understanding the nuances of this document is crucial for professionals seeking to formalize their credentialing in the state. Here are several essential points to consider:

  • Accurate and Complete Information: Every section of the application must be thoroughly and accurately filled out. Distinct emphasis is placed on the consistency of your name across all your documents, ensuring that your identity and credentials are easily verifiable.
  • Application by Comity: If you're applying for licensure by comity, having a current Professional Engineer license from another state, it's imperative to underline that the requirements for documentation may differ slightly. For instance, NCEES Record Holders may bypass submitting endorsements or verification of licensure/exams, as these are included in the NCEES Record.
  • Supporting Documentation: Applicants not holding an NCEES Council Record must send copies of official transcripts, verification of original exam/licensure, and endorsements, packed in sealed envelopes with backers signed to avoid tampering. This is critical for the application's integrity and ensuring all qualifications are properly assessed.
  • Necessary Affidavits: The affidavit section is a sworn declaration of accuracy and compliance with Georgia's engineering laws and rules. Signing this, whether electronically or in ink, reinforces the authenticity and earnestness of your application.
  • Registration for Multiple Disciplines: Should you wish to register in specialties within engineering not covered by your initial PE licensure, keep in mind Georgia's requirement for additional documented experience, particularly in structural engineering.
  • Proof of Legal Status: The application mandates proof of being either a U.S. citizen, legal permanent resident, qualified alien, or non-immigrant under federal laws, consistent with Georgia's regulations. This includes submitting copies of relevant documents like your driver’s license or immigration papers.

Adhering to these guidelines not only simplifies the process but also ensures compliance with the Georgia State Board of Professional Engineers & Land Surveyors' standards. Thorough preparation and attention to detail are your allies in submitting a successful application.

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